NPIMap

Organization Active NPI

Gateways Hospital & Mental Health Center

Doing business as Gateway Hospital & Community MH Center

  • Psychiatric Hospital
  • Los Angeles, CA
National Provider Identifier
1720151137
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
930000058 Issued in CA
Legal business name
GATEWAYS HOSPITAL & MENTAL HEALTH CENTER
Doing business as
Gateway Hospital & Community MH Center
Practice address
1891 Effie St
Los Angeles, CA 90026-1711
Phone
(323) 644-2000
Fax
(323) 953-6588
NPI assigned
Nov 15, 2006
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Phil K Wong, PSY.D
Title
Chief Executive Officer
Phone
(323) 644-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X
Psychiatric Hospital 283Q00000X 930000058 CA Primary

Addresses

Primary practice location

1891 Effie St
Los Angeles, CA 90026-1711

Mailing address

1891 Effie St
Los Angeles, CA 90026-1711
Phone (323) 644-2000

Other names 2

  • Gateway Hospital & Community MH Center Doing business as
  • Gateways Hospital and Mental Health Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100512000761 CA Part B Supplier - Hospital Department(S) 8921136912 Receives reassigned benefits from 29 practitioners
2 other NPIs on this enrollment
Practice locations: Los Angeles, CA
O20131031001006 CA Part A Provider - Hospital 8921136912 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720151137. Details of each certification follow.

Hospital certification: CCN 054028

Legal name
GATEWAYS HOSPITAL & MENTAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Aug 2, 2021
Beds
55
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Enrollment address
1891 Effie St
Los Angeles, CA 90026-1711
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Gateways Hosp Mental Health CtrCCN 054028 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Gateways Hosp13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

225 N Mariposa Ave
Los Angeles, CA 90004
Phone (213) 389-5820

423 N Hoover St
Los Angeles, CA 90004
Phone (323) 300-1830

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Philip Wong Individual Corporate OfficerChief Executive Officer May 15, 2017 100%
W-2 Managing EmployeeChief Executive Officer May 15, 2017 100%
Operational/Managerial ControlChief Executive Officer May 15, 2017 100%

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1720151137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 EFFIE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261711",
            "telephone_number": "323-644-2000",
            "fax_number": "323-953-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 EFFIE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261711",
            "telephone_number": "323-644-2000",
            "fax_number": "323-953-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAYS HOSPITAL & MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-644-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "930000058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Hospital & Community MH Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateways Hospital and Mental Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.